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NotificationsReimbursement for Emergent Inpatient AdmissionsMA00.0592/3/2026 3:00 PM3/5/20262/3/2026This is a New Policy.
New PoliciesPembrolizumab and berahyaluronidase alfa-pmph (KEYTRUDA QLEX™)MA08.1892/2/20262/3/2026This is a New Policy.
New PoliciesChimeric Antigen Receptor T-cell (CAR-T) Therapy: Carvykti® and Abecma®MA08.1902/9/20262/9/2026This is a New Policy.
Updated PoliciesSpinal Decompression with Interspinous and Interlaminar DevicesMA11.048d11/4/2025 11:00 AM2/2/20262/3/2026Coverage and/or Reimbursement Position;Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesPhotodynamic Therapy Using Verteporfin (Visudyne®)MA07.003f11/3/2025 12:00 PM2/2/20262/3/2026Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesReimbursement for Components of Comprehensive Laboratory PanelsMA01.006b10/31/2025 2:00 PM2/1/20262/3/2026Coverage and/or Reimbursement Position;Medical Coding
Updated PoliciesChimeric Antigen Receptor (CART) Therapy: Yescarta Tecartus, Breyanzi, Kymriah and AucatzylMA08.093q2/9/20262/9/2026Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesExperimental/Investigational ServicesMA00.005ar1/1/20262/9/2026Medical Coding
Updated PolicieseviCore Lab ManagementMA06.034t1/1/20262/23/2026Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Reissue PoliciesComputer-Assisted Musculoskeletal Surgical Navigational Orthopedic ProcedureMA11.088c1/1/20247/9/20252/4/2026
Coding UpdatePPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesMA00.010av1/1/20262/1/20262/1/2026
Coding UpdateServices Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care ProvidersMA00.033r1/1/20262/3/2026
Coding UpdateLaboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsMA00.030aj1/1/20262/3/2026
Coding UpdateReimbursement for Radiopharmaceutical AgentsMA09.009aa1/1/20262/3/2026
Coding UpdateIntravenous Ketamine (Ketalar®) and Intranasal Esketamine (Spravato®)MA08.137e1/1/20262/11/20262/10/20262/11/2026
Coding UpdateIntravenous Ketamine (Ketalar®) and Intranasal Esketamine (Spravato®)MA08.137e1/1/20262/16/2026